Individual
MISS AMANDA RASHELL TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1125 CENTRE ST, JAMAICA PLAIN, MA 02130-3495
(508) 232-9841
Mailing address
1125 CENTRE ST, JAMAICA PLAIN, MA 02130-3495
(508) 232-9841
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/12/2024
Last updated
02/12/2024
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